HomeMy WebLinkAboutLombardo Application Pavers ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '1�-cno Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Other �o'xaa ' OX,CK MOER PiM0 + FooTEK 12'f I
X.
PROPOSED IMPROVEMENT LOCATION:
Address: /54V 171,01 bIlMa'2,O&S11 alie 94M CI FL 3 99Q
Legal Description: ZlAgjed e pGf� +(.3 O Bl/S L G
Property Tax ID#: '7 &— 916-00 000 —5 Lot No,
Site Plan Name: HAAbayg Aidac, trb Block No.
Project Name: L om 66 A DQ
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
.Tn sfzfl /2'*/ X/2'/ Fa0TEl? W #.5 RC9,4k;'
CONSTRUCTION INFORMATION:
Additional work to a er orme under this permit—check a apply:
❑HVAC 11 Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing EJ Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 4.710 S Ft.of First Floor:
Cost of Construction: $ 47000, do Utilities: L�l Sewer[ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name t10 P A d I_eZndjJ&d47 Name: Ryan Figman
Address: u /I Gf/K Company: Apex Pavers & Pools
City: IaOln el? State: Al- Address: 725 SE Lincoln Ave
Zip Code: 91/ Q Fax: City: Stuart State: FL
Phone No. Zip Code: 34994 Fax: 772-5101
E-Mail: %0/7/1 Ad t � IC/OUt(, L'4/-p Phone No. 772-419-5151
Fill in fee simple Title Holder on next page (if different E-Mail: jscalise@apexpavers.com
from the Owner listed above) State or County License: 23896
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cans It with IendF an att y before
commencing work or recording our Notice of Commencem /
Signature of Co ractor Sig ature of a /qeR
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF—e
The forging instrumpnt was ackn wledged before me The for g instrument was acknowiedged before me
th is_day of 20�by this for
of .�tpLk 20 .W by
(Name of person acknowledging) (Name of person acknowledging
(Sign re of Notary Public-State of FI rida) (Signatu of Notary Public-State of F rida}
Personally Known OR Produced Identification Personally Known OR Produced identification
Type of Identification Produced 17pe of Identification Produced
Commission No. Commission No. (Seal)
� Notary Public State o!Florida
Lori A INgXley Nota Pubilc State of Florida
•'Q a�' Expires 11128/2022 my Lori
commiss on GG 280148
Revised 07115I201
Expires 1112812022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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